| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,081 |
6,755 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,103 |
1,011 |
$51K |
| 99442 |
|
546 |
457 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,021 |
862 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
226 |
102 |
$3K |
| 90674 |
|
77 |
76 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
427 |
366 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
60 |
$897.45 |
| 99406 |
|
104 |
94 |
$841.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$188.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
90 |
85 |
$96.67 |
| 90756 |
|
15 |
15 |
$23.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
25 |
$19.53 |
| 3044F |
|
15 |
14 |
$0.00 |
| 3079F |
|
778 |
724 |
$0.00 |
| 3074F |
|
645 |
604 |
$0.00 |
| 3075F |
|
189 |
177 |
$0.00 |
| 3080F |
|
26 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 3078F |
|
313 |
291 |
$0.00 |
| 3077F |
|
116 |
106 |
$0.00 |